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Washington rates for HCPCS J1455

Injection, foscarnet sodium, per 1,000 mg

Facilitymedian $14 · 10th–90th $7$740%20%10th90th$14Professionalmedian $7 · 10th–90th $6$230%20%10th90th$7$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$13.49
Typical High
$23.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$6.76
Typical High
$7.08
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$74.13
Typical High
$151.36
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$10.96
Typical High
$43.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$33.11
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$64.57
Typical High
$199.53
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$23.44
Typical High
$23.44
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$74.13
Typical High
$154.88
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$35.48
Typical High
$51.29
United
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$21.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.71
Typical High
$10.96